Active NPI
Brighter Life Counseling PLLC
- Community/Behavioral Health Agency
- Jacksonville, NC
National Provider Identifier
1164969036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 11015
- Legal business name
- BRIGHTER LIFE COUNSELING PLLC
- Practice address
- 201 New Bridge St
Jacksonville, NC 28540-4736 - Phone
- (336) 755-6996
- NPI assigned
- Jan 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Folger Summerlin, NCC, LPC, LCAS-A
- Title
- Manager
- Phone
- (336) 755-6996
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 11015 | NC | Primary |
| Community/Behavioral Health Agency | 251S00000X | LCAS-21026 | NC |
Addresses
Primary practice location
201 New Bridge St
Jacksonville, NC 28540-4736
Mailing address
201 New Bridge St
Jacksonville, NC 28540-4736
Phone (336) 755-6996
National Provider Directory
National Provider DirectoryLocations
201 New Bridge St
Jacksonville, NC 28540
Phone (336) 755-6996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485734400000",
"number": "1164969036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NEW BRIDGE ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285404736",
"telephone_number": "336-755-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NEW BRIDGE ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285404736",
"telephone_number": "336-755-6996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER LIFE COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A",
"authorized_official_last_name": "SUMMERLIN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "FOLGER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "336-755-6996",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NCC, LPC, LCAS-A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "11015",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "LCAS-21026",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.